Comprehensive Mental Health and Psychiatric
Nursing NCLEX Exam Newest 2026 Questions
and Correct Detailed Answers Already Graded
A+
1. Question
A client tells a nurse. "Everyone would be better off if I wasn't alive." Which
nursing diagnosis would be made based on this statement?
A. Disturbed thought processes
B. Ineffective coping
C. Risk for self-directed violence
D. Impaired social interaction - CORRECT ANSWER-C. Risk for self-directed
violence
2. Question
Which information is the most essential in the initial teaching session for the
family of a young adult recently diagnosed with schizophrenia?
A. Symptoms of this disease imbalance in the brain.
B. Genetic history is an important factor related to the development of
schizophrenia.
C. Schizophrenia is a serious disease affecting every aspect of a person's
functioning.
,D. The distressing symptoms of this disorder can respond to treatment with
medications. - CORRECT ANSWER-D. The distressing symptoms of this disorder
can respond to treatment with medications.
3. Question
A nurse is working with a client who has schizophrenia, paranoid type. Which of
the following outcomes related to the client's delusional perceptions would the
nurse establish?
A. The client will demonstrate realistic interpretation of daily events in the unit.
B. The client will perform daily hygiene and grooming without assistance.
C. The client will take prescribed medications without difficulty.
D. The client will participate in unit activities. - CORRECT ANSWER-A. The client
will demonstrate realistic interpretation of daily events in the unit.
4. Question
A client with bipolar disorder, manic type, exhibits extreme excitement,
delusional thinking, and command hallucinations. Which of the following is the
priority nursing diagnosis?
A. Anxiety
B. Impaired social interaction
C. Disturbed sensory-perceptual alteration (auditory)
,D. Risk for other-directed violence - CORRECT ANSWER-D. Risk for other-
directed violence
5. Question
A client who abuses alcohol and cocaine tells a nurse that he only uses substances
because of his stressful marriage and difficult job. Which defense mechanisms is
this client using?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation - CORRECT ANSWER-C. Rationalization
6. Question
An 11-year-old child diagnosed with conduct disorder is admitted to the
psychiatric unit for treatment. Which of the following behaviors would the nurse
assess?
A. Restlessness, short attention span, hyperactivity.
B. Physical aggressiveness, low-stress tolerance, disregard for the rights of others.
C. Deterioration in social functioning, excessive anxiety, and worry, bizarre
behavior.
, D. Sadness, poor appetite and sleeplessness, loss of interest in activities. -
CORRECT ANSWER-B. Physical aggressiveness, low-stress tolerance, disregard
for the rights of others.
7. Question
The nurse understands that if a client continues to be dependent on heroin
throughout her pregnancy, her baby will be at high risk for:A. Mental retardation
A. Mental retardation
B. Heroin dependence
C. Addiction in adulthood
D. Psychological disturbances - CORRECT ANSWER-B. Heroin dependence
8. Question
The emergency department nurse is assigned to provide care for a victim of a
sexual assault. When following legal and agency guidelines, which intervention is
most important?
A. Determine the assailant's identity
B. Preserve the client's privacy
C. Identify the extent of an injury
D. Ensure an unbroken chain of evidence - CORRECT ANSWER-D. Ensure an
unbroken chain of evidence
Nursing NCLEX Exam Newest 2026 Questions
and Correct Detailed Answers Already Graded
A+
1. Question
A client tells a nurse. "Everyone would be better off if I wasn't alive." Which
nursing diagnosis would be made based on this statement?
A. Disturbed thought processes
B. Ineffective coping
C. Risk for self-directed violence
D. Impaired social interaction - CORRECT ANSWER-C. Risk for self-directed
violence
2. Question
Which information is the most essential in the initial teaching session for the
family of a young adult recently diagnosed with schizophrenia?
A. Symptoms of this disease imbalance in the brain.
B. Genetic history is an important factor related to the development of
schizophrenia.
C. Schizophrenia is a serious disease affecting every aspect of a person's
functioning.
,D. The distressing symptoms of this disorder can respond to treatment with
medications. - CORRECT ANSWER-D. The distressing symptoms of this disorder
can respond to treatment with medications.
3. Question
A nurse is working with a client who has schizophrenia, paranoid type. Which of
the following outcomes related to the client's delusional perceptions would the
nurse establish?
A. The client will demonstrate realistic interpretation of daily events in the unit.
B. The client will perform daily hygiene and grooming without assistance.
C. The client will take prescribed medications without difficulty.
D. The client will participate in unit activities. - CORRECT ANSWER-A. The client
will demonstrate realistic interpretation of daily events in the unit.
4. Question
A client with bipolar disorder, manic type, exhibits extreme excitement,
delusional thinking, and command hallucinations. Which of the following is the
priority nursing diagnosis?
A. Anxiety
B. Impaired social interaction
C. Disturbed sensory-perceptual alteration (auditory)
,D. Risk for other-directed violence - CORRECT ANSWER-D. Risk for other-
directed violence
5. Question
A client who abuses alcohol and cocaine tells a nurse that he only uses substances
because of his stressful marriage and difficult job. Which defense mechanisms is
this client using?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation - CORRECT ANSWER-C. Rationalization
6. Question
An 11-year-old child diagnosed with conduct disorder is admitted to the
psychiatric unit for treatment. Which of the following behaviors would the nurse
assess?
A. Restlessness, short attention span, hyperactivity.
B. Physical aggressiveness, low-stress tolerance, disregard for the rights of others.
C. Deterioration in social functioning, excessive anxiety, and worry, bizarre
behavior.
, D. Sadness, poor appetite and sleeplessness, loss of interest in activities. -
CORRECT ANSWER-B. Physical aggressiveness, low-stress tolerance, disregard
for the rights of others.
7. Question
The nurse understands that if a client continues to be dependent on heroin
throughout her pregnancy, her baby will be at high risk for:A. Mental retardation
A. Mental retardation
B. Heroin dependence
C. Addiction in adulthood
D. Psychological disturbances - CORRECT ANSWER-B. Heroin dependence
8. Question
The emergency department nurse is assigned to provide care for a victim of a
sexual assault. When following legal and agency guidelines, which intervention is
most important?
A. Determine the assailant's identity
B. Preserve the client's privacy
C. Identify the extent of an injury
D. Ensure an unbroken chain of evidence - CORRECT ANSWER-D. Ensure an
unbroken chain of evidence
